Is Your Billing Company Ready for the 2026 Medicare Fee Schedule?

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The 2026 Medicare Fee Schedule brings new reimbursement updates, coding changes, compliance requirements, and documentation expectations that can significantly affect physician practices across every specialty. Whether you operate a primary care clinic, internal medicine practice, OBGYN office, neurology group, ambulatory surgery center (ASC), or hospital-based practice, your billing company plays a critical role in helping you adapt to these changes. Many practices assume their billing partner will automatically implement new Medicare policies, but that isn't always the case. Delayed coding updates, inaccurate reimbursement calculations, poor denial management, and weak compliance monitoring can lead to underpayments, claim denials, growing accounts receivable (AR), and unnecessary revenue loss. As healthcare reimbursement becomes increasingly complex, practices need more than basic claim submission. They need experienced medical billing services , proactive RCM services , and st...
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E/M Coding Basics for Internal Medicine

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Evaluation and management is the most important part of the practice for an internist and coding for these visits can have an important effect on the bottom line of a practice. The decision about what level to bill an evaluation and management code is rarely clear to most physicians. In order to determine what code to select for an evaluation and management procedure, it helps to first learn the elements of a code. Once you understand the elements and how they come together to create the level, it can be a lot easier to select a code with confidence. In this article, we will focus on the documentation standards for evaluation and management codes: 

 
Chief Complaint
 
Every evaluation and management visit should start with a chief complaint - some kind of reason why the patient needs to be seen. Only a simple explanation is needed, it may be “cough” “1-year recheck of diabetes” or “nausea since Tuesday.” The chief complaint is required in order to establish medical necessity, a fundamental element of the Medicare program and a required element for billing this series of codes for the private sector as well. 

If you want to read the complete blog then click below: E/M Coding Basics for Internal Medicine


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